Individual
MIRRYIAN CLARISSA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
671 HENDERSON DR, SENECA, SC 29678-1701
(864) 624-6922
(864) 467-3757
Mailing address
671 HENDERSON DR, SENECA, SC 29678-1701
(864) 624-6922
(864) 467-3757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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